{"id":7021,"date":"2017-06-19T13:00:34","date_gmt":"2017-06-19T11:00:34","guid":{"rendered":"https:\/\/bio.paissangroup.com\/patologie\/diabete-mellito\/"},"modified":"2023-08-25T09:36:16","modified_gmt":"2023-08-25T07:36:16","slug":"diabete-mellito","status":"publish","type":"page","link":"https:\/\/bio.paissangroup.com\/en\/patologie\/diabete-mellito\/","title":{"rendered":"Diabetes mellitus"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row top_margin=&#8221;page-margin-top&#8221; el_position=&#8221;first last&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:30%20px|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;up&#8221;][vc_column_text el_class=&#8221;pagine-interne&#8221;]<em>The contents of this page have been produced by a team of physicians and experts of the Italian Institute of Telemedicine in compliance with the recommendations of the latest medical and scientific guidelines. Institutional communication not subject to authorisation pursuant to the Ministerial Decree 23\/02\/2006. <\/em><\/p>\n<h2><strong>What is the Diabetes mellitus?<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4370\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-00-300x225.jpg\" alt=\"\" width=\"400\" height=\"299\" srcset=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-00-300x225.jpg 300w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-00-270x202.jpg 270w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-00-500x374.jpg 500w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-00.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<p>Diabetes mellitus is a\u00a0<strong>chronic condition<\/strong>\u00a0characterized by <u>an increase of the glucose levels in the blood (glycaemia)<\/u>. We can speak of Diabetes mellitus when\u00a0<strong>glycaemia reaches values \u2265126 mg\/dL<\/strong>.<\/p>\n<p>The <strong>hormone<\/strong>\u00a0which enables the body to use the glucose for the energy processes in cells, by regularising the glycaemia, is the <strong>insulin<\/strong>, produced by the pancreas. When there is an absolute or relative failure in the production of insulin, glucose dangerously accumulates in the blood causing the development of the diabetes.<\/p>\n<h2><strong>Diabetes in figures<\/strong><\/h2>\n<p><u>Diabetes affects approximately 3 million Italians and 170 million people in the world<\/u>\u00a0and is frequently related to other <strong>cardiovascular <\/strong>risk factors, namely <a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/ipertensione-arteriosa\/?lang=en\">hypertension<\/a> and <a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/dislipidemia\/?lang=en\">dyslipidemia<\/a>.<\/p>\n<p>As a matter of fact approximately 30-40% of diabetics suffer from some\u00a0<strong>cardiovascular disease<\/strong>, with a death rate increased 5 times if compared to a non-diabetic.<\/p>\n<h2><strong>Types of diabetes<\/strong><\/h2>\n<p>Diabetes is a disease for which the hereditary factor has a great importance. It causes serious vascular diseases, especially to the heart and to the kidneys.<\/p>\n<p>Diabetes comes in two forms<\/p>\n<h3><strong>Type 1 diabetes mellitus<\/strong>:<\/h3>\n<ul>\n<li>Mainly occurs during\u00a0<u>childhood and adolescence<\/u><\/li>\n<li><u>Connected with genetic<\/u>\u00a0(hereditary), immune and environmental <strong>factors<\/strong> (infections).<\/li>\n<li>Characterized by an\u00a0<u>almost absolute insulin deficiency<\/u><\/li>\n<\/ul>\n<h3><strong>Type 2 diabetes mellitus:<\/strong><\/h3>\n<ul>\n<li>It\u2019s the most common form of diabetes<\/li>\n<li>Generally occurs during the adulthood<\/li>\n<li>Characterized by a partial insulin deficiency and by the inability of the circulating insulin to act in a satisfactory manner (the so-called insulin resistance)<\/li>\n<\/ul>\n<h2><strong>Risk factors<\/strong><\/h2>\n<ul>\n<li>Age over 45 years<\/li>\n<li><a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/controllo-del-peso\/?lang=en\">Overweight<\/a>\u00a0(particularly if the fat is located in the abdomen)<\/li>\n<li><a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/stile-di-vita\/?lang=en\">Too<\/a><strong> sedentary life<\/strong><\/li>\n<li>Family relationship (especially if first-degree) with a diabetic<\/li>\n<li>For women after giving birth to a child whose weight is over 4 kg or women who suffered from diabetes during pregnancy<\/li>\n<li><a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\">Impaired<\/a><strong> fasting blood glucose<\/strong>\u00a0(between 110 and 125 mg\/dL)<\/li>\n<li><a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/ipertensione-arteriosa\/?lang=en\">Hypertension<\/a><\/li>\n<li>Belonging to high-risk ethnic groups (e. g. Hispanics, Asians, Africans)<\/li>\n<\/ul>\n<h2><strong>How to diagnose the diabetes mellitus<\/strong><\/h2>\n<p>People with a positive family history for <strong>diabetes mellitus<\/strong> should regularly\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\"><strong>check<\/strong><\/a><strong> their blood glucose<\/strong>\u00a0to act promptly in case the diabetes should arise.<\/p>\n<p>Scarcity or <strong>lack of insulin<\/strong> prevents the body from using the glucose to <strong>produce the energy needed<\/strong>\u00a0for its functioning. The glucose, introduced with the food, is not used and is eliminated from the body in urine. Thus we have an increase of the volume of the urine (polyuria), with the resulting increase of the feeling of being thirsty (polydipsia), and a sudden weight loss due to the fact that\u00a0<strong>the nutrients are not retained<\/strong>.<\/p>\n<p>The serious consequence of a non-treated diabetes, particularly if type l, is the <strong>increase in the amount of the ketone bodies in the blood<\/strong>\u00a0which become \u201cacid\u201d (the so-called\u00a0<strong>ketoacidosis<\/strong>\u00a0which can result in coma and death).<\/p>\n<p>These\u00a0<strong>symptoms are typical of the type 1 diabetes mellitus<\/strong>, while\u00a0<strong>by type 2 diabetes the symptoms appear more slowly<\/strong> and often in a less evident manner. There might be cases of high blood glucose without any occurrence of its symptoms. For this reason the diagnosis of this form of diabetes is often not rapid, and comes when the disease is already full blown.\u00a0<u>The diagnosis of diabetes mainly bases on the<\/u>\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\">measurement of the fasting blood glucose<\/a>.<\/p>\n<h2><strong>Diagnostic parameters for diabetes<\/strong><\/h2>\n<ul>\n<li>Fasting blood glucose \u2265126 mg\/dL<\/li>\n<li>Blood glucose \u2265200 mg\/dL two hours after glucose oral assumption<\/li>\n<li>Symptoms of diabetes (polyuria, polydipsia, inexplicable weight loss) related to a random blood glucose value (regardless of the times of the day) \u2265200 mg\/dL<\/li>\n<\/ul>\n<h2><strong>How to measure the blood glucose<\/strong><\/h2>\n<p>Of utmost importance for the diabetes is the <a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\">blood<\/a><strong> glucose self-monitoring<\/strong><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4372 alignright\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-01-300x198.jpg\" alt=\"\" width=\"400\" height=\"264\" srcset=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-01-300x198.jpg 300w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-01-270x178.jpg 270w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-01-500x330.jpg 500w, https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2017\/06\/diabete-mellito-01.jpg 600w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<ul>\n<li>The measurement of blood glucose must be performed <u>after at least a 12-hour fasting<\/u><\/li>\n<li>The exam can be performed on <strong>capillary blood<\/strong>, pricking the finger (home or pharmacy measurement), or on\u00a0<strong>venous blood<\/strong>\u00a0(at the Hospital, at the medical center or at an analytical laboratory)<\/li>\n<li>A person can be considered to be diabetic according to various parameters:<\/li>\n<\/ul>\n<ol class=\"margine-sottoelenco\">\n<li>if at least after 2 subsequent measurements successive over a week, the fasting blood glucose is equal or higher to\/than 126 mg\/dL<\/li>\n<li>if treated with oral hypoglycaemic agents or insulin<\/li>\n<li>if in his\/her personal and medical report diabetes has been recorded<\/li>\n<\/ol>\n<ul>\n<li>The <a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\">home blood glucose self-monitoring<\/a>\u00a0is performed on a drop of blood obtained by pricking a fingertip: only one drop of blood is sufficient<\/li>\n<li><strong>Self-monitoring is a painless test<\/strong>, fast (2 minutes are sufficient) and is reliable, since the results can overlap with the ones from the laboratory<\/li>\n<\/ul>\n<h2><strong>How to treat the diabetes mellitus<\/strong><\/h2>\n<p>For the treatment of the diabetes mellitus setting up a correct\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/patologie\/stile-di-vita\/\">lifestyle<\/a>\u00a0(healthy food and regular exercise) is of the utmost importance.<\/p>\n<p>An insulin-based\u00a0<strong>therapy<\/strong> <strong>is needed for diabetes type 1<\/strong>, in which this hormone is lacking.<\/p>\n<p>For\u00a0<strong>diabetes type 2<\/strong>, if diet and exercise are not sufficient to restore the blood glucose levels to optimum levels, the physician shall prescribe oral\u00a0<strong>hypoglycaemic drugs <\/strong>which shall reduce the glucose levels in the blood.[\/vc_column_text][vc_column_text el_class=&#8221;pagine-interne&#8221;]<\/p>\n<h2><strong>WHAT CAN THOLOMEUS\u00ae DO FOR YOU<\/strong><\/h2>\n<p><strong>Tholomeus\u00ae<\/strong>\u00a0uses accurate and certified medical devices for the\u00a0<a href=\"https:\/\/bio.paissangroup.com\/en\/tholomeus\/profilo-glucidico-lipidico\/?lang=en\">measurement of glycemia<\/a>\u00a0in order to get a reliable and accurate overview of your\u00a0<strong>blood glucose levels<\/strong>\u00a0.<\/p>\n<p><strong>Signing in for free<\/strong>\u00a0to\u00a0<a href=\"https:\/\/www.tholomeus.net\/RegisterPatient.aspx\">Tholomeus<strong>\u00ae<\/strong><\/a>\u00a0you can check your glycaemia directly uploading the data from the <a href=\"https:\/\/play.google.com\/store\/apps\/details?id=it.biotechmed.atholomeus&amp;hl=it\">App<\/a>\u00a0 <a class=\"scarica\" href=\"https:\/\/play.google.com\/store\/apps\/details?id=it.biotechmed.atholomeus&amp;hl=it\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"google-testo\" src=\"https:\/\/bio.paissangroup.com\/wp-content\/uploads\/2018\/04\/google-play-badge.png\" alt=\"\" width=\"100\" height=\"32\" \/><\/a>\u00a0to make them immediately available to your physician.[\/vc_column_text][vc_separator css=&#8221;.vc_custom_1505826960655{padding-top: 25px !important;padding-bottom: 25px !important;}&#8221;][vc_widget_sidebar sidebar_id=&#8221;prodotti-top&#8221;][vc_basic_grid post_type=&#8221;post&#8221; max_items=&#8221;10&#8243; item=&#8221;5131&#8243; grid_id=&#8221;vc_gid:1692948968451-4b5e4c34e382becc0fc091438e09fed6-9&#8243; taxonomies=&#8221;14&#8243;][vc_separator css=&#8221;.vc_custom_1505826960655{padding-top: 25px !important;padding-bottom: 25px !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;][vc_widget_sidebar sidebar_id=&#8221;prodotti-bottom&#8221;][vc_empty_space height=&#8221;50px&#8221;]<div class=\"columns clearfix layout-row\"><\/ul><\/div>[vc_empty_space height=&#8221;50px&#8221;][rev_slider_vc alias=&#8221;banner-bottom&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;sidebar-home-right&#8221; el_position=&#8221;first last&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row top_margin=&#8221;page-margin-top&#8221; el_position=&#8221;first last&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:30%20px|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;up&#8221;][vc_column_text el_class=&#8221;pagine-interne&#8221;]The contents of this page have been produced by a team of physicians and experts of the Italian Institute of Telemedicine<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":6975,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"template-home.php","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-7021","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diabetes mellitus - Biotechmed<\/title>\n<meta name=\"description\" content=\"Biotechmed Srl 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